AUTONOMIC DISTURBANCE AT ONSET OF ACUTE MYOCARDIAL-INFARCTION
AUTONOMIC DISTURBANCE AT ONSET OF ACUTE MYOCARDIAL-INFARCTION
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DOI：
10.1136/bmj.3.5818.89
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发表时间：
1972-01-01
影响因子：
105.7
通讯作者：
PANTRIDGE, JF
中科院分区：
文献类型：
--
作者：
WEBB, SW;ADGEY, AAJ;PANTRIDGE, JF
在74例急性心肌梗死发病30分钟内观察到的患者中，68例（92%）有自主神经失衡的迹象。41例（55%）迷走神经过度活动明显，27例（36%）交感神经过度活动。冠状动脉发作急性期猝死的高发可能是由自主神经紊乱引起的电不平衡所致。因此，在任何预防致命的早期室性心律失常的方案中，都必须考虑到这种干扰。
Of 74 patients seen within 30 minutes of the onset of acute myocardial infarction 68 (92%) had signs of autonomic imbalance. Excessive vagal activity was evident in 41 (55%) and there was sympathetic overactivity in 27 (36%). The high incidence of sudden death in the acute phase of a coronary attack probably results from the electrical imbalance caused by autonomic disturbance. This disturbance must therefore be taken into account in any prophylactic regimen against the lethal early ventricular dysrhythmias.